Thank you for applying for our new mentorship scheme. This scheme will run from February to July 2021. By applying for this scheme we will assume that you have at least 4-6 hours available within this 6 month period for contact with your mentee. 

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* 1. First name:

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* 2. Last name:

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* 3. Contact details:

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* 5. Would you be happy to mentor someone from another country (assuming no language issues)?

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* 6. Current/most recent employment: 

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* 7. Professional memberships, if relevant:

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* 8. Which departments do you have experience of? Please tick all that apply: 

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* 9. Are you happy to mentor someone who works within different areas of publishing to you?  

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* 10. Which types of content do you have experience of? Please tick all that apply:

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* 11. Are you happy to mentor someone who has experience with different types of content to yourself?

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* 12. Which subject areas do you have experience in?

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* 13. Are you happy to mentor someone who has experience with different subject areas to yourself?

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* 14. How Long have you worked in a publishing related role?

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* 15. To fulfil the principles of C4DISC and ensure our mentorship scheme encourages diversity we are including a question on ethnicity: 

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* 16. Do you have prior experience of mentoring?

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* 17. How did you hear about our mentorship scheme?

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* 18. If we are unable to offer you a place on our current scheme, would you like to be considered for the next mentorship period (July-Dec 2021)

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* 19. Additional comments:

Thank you very much for your application. If you have any queries, questions, please email Amanda.whiting@alpsp.org

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